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COMMENTS AND OPINIONS
Medications Impair Kidney Function in Stroke Population
Weekitt Kittisupamongkol, MD
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I read with interest the article by Ovbiagele.1 A number of participants have metabolic syndrome. I was wondering if the author is aware of many medications that deteriorate renal function2-4 and that are widely prescribed in such a population, such as angiotensin-converting enzyme inhibitors, rosuvastatin, nonsteroidal anti-inflammatory drugs (including high doses of aspirin). Failure to ask patients about such drugs would bias the results of the study.
AUTHOR INFORMATION
Correspondence: Dr Kittisupamongkol, Hua Chiew Hospital, Bangkok 10100, Thailand (weekitti@gmail.com).
Financial Disclosure: None reported.
1. Ovbiagele B. Impairment in glomerular filtration rate or glomerular filtration barrier and occurrence of stroke. Arch Neurol. 2008;65(7):934-938.
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2. Lameire N, Van Biesen W, Vanholder R. Acute renal failure. Lancet. 2005;365(9457):417-430.
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3. Wolfe SM. Dangers of rosuvastatin identified before and after FDA approval. Lancet. 2004;363(9427):2189-2190.
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4. Fored CM, Ejerblad E, Lindblad P; et al. Acetaminophen, aspirin, and chronic renal failure. N Engl J Med. 2001;345(25):1801-1808.
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Arch Neurol. 2009;66(3):416.
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Impairment in Glomerular Filtration Rate or Glomerular Filtration Barrier and Occurrence of Stroke
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Arch Neurol. 2008;65(7):934-938.
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